Provider Demographics
NPI:1376052282
Name:ALEPMED INC
Entity Type:Organization
Organization Name:ALEPMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ABOUKHATER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:857-272-0616
Mailing Address - Street 1:210 BELMONT ST APT 5
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-3557
Mailing Address - Country:US
Mailing Address - Phone:857-272-0616
Mailing Address - Fax:
Practice Address - Street 1:215 SUMMER ST STE 11
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6305
Practice Address - Country:US
Practice Address - Phone:978-372-9122
Practice Address - Fax:978-372-6131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental